Orthopedic brace to assist with spastic gait
11712358 · 2023-08-01
Inventors
Cpc classification
A61F5/01
HUMAN NECESSITIES
International classification
A61F5/01
HUMAN NECESSITIES
Abstract
Apparatus for an orthopedic brace with magnetic assistance for assisting with a spastic gait. A pair of braces are configured to each support and secure a magnetic device on each leg above the knee. The magnetic devices generate a magnetic force sufficient to reduce a spastic gait. Each magnetic device has a magnetic field that interacts with a magnetic field of the other magnetic device. The magnetic field produces a magnetic force that repels the other magnetic device as the magnetic devices move relative to each other when the wearer walks. The shape of the magnetic field is configured to aid the wearer in avoiding the legs colliding while walking. In one embodiment discrete magnets are disposed on the medial side of each brace. In another embodiment magnetic material is integral with the medial side of each brace and the magnetic material has a selected field strength curve.
Claims
1. An apparatus for assisting a person with a spastic gait, said apparatus comprising: a first support device dimensioned and configured to fit about a left thigh of the person, said first support device having a first medial side and a first medial-lateral plane; a pair of first magnets secured to said first support device, said pair of first magnets including a first anterior magnet and a first posterior magnet, said first anterior magnet positioned anteriorly of where said first medial-lateral plane intersects said first medial side, said first posterior magnet positioned posteriorly of where said first medial-lateral plane intersects said first medial side; a second support device dimensioned and configured to fit about a right thigh of the person, said second support device having a second medial side and a second medial-lateral plane; and a pair of second magnets secured to said second support device, said pair of second magnets including a second anterior magnet and a second posterior magnet, said second anterior magnet positioned anteriorly of where said second medial-lateral plane intersects said second medial side, said second posterior magnet positioned posteriorly of where said second medial-lateral plane intersects said second medial side; whereby said pair of first magnets and said pair of second magnets are oriented such that said pair of first magnets repels said pair of second magnets when said first and second support devices are worn by the person, and a repelling force between said pair of first magnets and said pair of second magnets is sufficient to aid the person in reducing the spastic gait when the person is wearing said first and second support devices.
2. The apparatus of claim 1 wherein said first magnetic field has a first field distribution that varies radially to an axis of said first support device, and said second magnetic field has a second field distribution that varies radially to an axis of said second support device.
3. The apparatus of claim 2 wherein said first and second field distributions correspond to a force profile determined by a gait of the person.
4. The apparatus of claim 2 wherein a first medial location is defined as where said first medial-lateral plane intersects said first medial side and a second medial location is defined as where said second medial-lateral plane intersects said second medial side, said first and second field distributions have a field strength that is stronger at a position anterior to said first medial position than at said first medial position, and said first and second field distributions have a field strength that is stronger at a position posterior to said first medial position than at said first medial position.
5. The apparatus of claim 1 wherein said pair of first magnets opposes said pair of second magnets with sufficient force to prevent said pair of first magnets from contacting said pair of second magnets when the person is walking while wearing said pair of first magnets and said pair of second magnets.
6. The apparatus of claim 1 wherein said first and second support devices are rigid structures that conform to said left and right thighs, respectively.
7. An apparatus for assisting a person with a spastic gait, said apparatus comprising: a left brace including a first support device configured to support a first magnetic device at a first position medially on a left thigh of the person; and a right brace including a second support device configured to support a second magnetic device at a second position medially on a right thigh of the person, said first magnetic device having a first magnetic field in opposition to a second magnetic field of said second magnetic device when said left and right braces are worn by the person wherein said first magnetic device opposes said second magnetic device with a force sufficient to at least partially correct the spastic gait of the person when the person is wearing said left and right braces.
8. The apparatus of claim 7 wherein said first magnetic device has a first field distribution that varies radially to an axis of said left thigh, and said second magnetic device has a second field distribution that varies radially to an axis of said right thigh.
9. The apparatus of claim 8 wherein said first and second field distributions correspond to a force profile determined by a gait of the person.
10. A method for assisting a person with a spastic gait, said method comprising the steps of: a) determining a force profile that includes determining a force necessary to correct the spastic gait at a plurality of points in a stride of the person; b) distributing a first magnetic field in a first magnetic device; c) distributing a second magnetic field in a second magnetic device such that said first magnetic device repels said second magnetic device when first magnetic device is positioned to face said second magnetic device; c1) step c) includes the step of positioning a plurality of magnets in each of said first and second magnetic devices to so as to generate said force between said first and second magnetic devices when said first and second magnetic devices are placed in positions corresponding to said plurality of points of step a) of determining said force; d) ensuring said first magnetic device is included with a first support device; and e) ensuring said second magnetic device is included with a second support device.
11. The method of claim 10 further including the steps of f) securing said first magnetic device proximate a medial left thigh of the person and g) securing said second magnetic device proximate a medial right thigh of the person.
12. A method for assisting a person with a spastic gait, said method comprising the steps of: a) determining a force profile that includes determining a force necessary to correct the spastic gait at a plurality of points in a stride of the person; b) distributing a first magnetic field in a first magnetic device; c) distributing a second magnetic field in a second magnetic device such that said first magnetic device repels said second magnetic device when first magnetic device is positioned to face said second magnetic device; c1) wherein step c) includes the step of magnetizing a powder in a corresponding one of said first and second magnetic devices so as to generate said force between said first and second magnetic devices when said first and second magnetic devices are placed in positions corresponding to said plurality of points of step a) of determining said force; d) ensuring said first magnetic device is included with a first support device; and e) ensuring said second magnetic device is included with a second support device.
13. The method of claim 12 further including the steps of f) securing said first magnetic device proximate a medial left thigh of the person and g) securing said second magnetic device proximate a medial right thigh of the person.
Description
BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS
(1) The above-mentioned features will become more clearly understood from the following detailed description read together with the drawings in which:
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
DETAILED DESCRIPTION
(12) Apparatus for an orthopedic brace is disclosed. The orthopedic braces are generally indicated as 100, with particular embodiments and variations shown in the figures and described below having an alphabetic suffix, for example, 100-R-A, 100-R-B. Furthermore, left and right elements are designated with a suffix when pertinent, such as when discussing the left support device 106-L and the right support device 106-R, and the left and right designation is omitted when discussing the support device 106 generally.
(13)
(14) Each brace 100-L, 100-R includes a support device 106 and a magnetic device 110.
(15) Each of the braces 100 support a magnetic device 110 medial to the corresponding leg 104 proximate the thighs. In the illustrated embodiment, each magnetic device 110 is positioned proximate the medial portion of the brace 100. In one embodiment, each magnetic device 110-L, 110-R extends approximately half-way around the thigh of the person 102. That is, each magnetic device 110-L, 110-R is bounded by the median plane of the associated leg 104-L, 104-R.
(16)
(17)
(18) The person 102 moves the right leg 104-R forward in direction 202-AB from a first position 204-A to a second position 204-B where the right leg 104-R collides with the left leg 104-L. Depending upon the severity of the person's spastic gait the right leg 104-R drags across the medial surface of the left leg 104-L, either with assistance or under the person's motor control, in a direction 202-BC until the right leg 104-R crosses the medial-lateral plane 208 of the left leg 104-L. When the person's right leg 104-R reaches the third position 204-C the right leg 104-R has cleared the left leg 104-L and moves forward in direction 202-CD to the forward or anterior position 204-D.
(19)
(20) The right leg 104-R starts in a first position 204-A identical to the forth position 204-D shown in
(21)
(22) The medial thigh portion of the left brace 100-L includes a left magnetic device 110-L, and the medial thigh portion of the right brace 100-R includes a right magnetic device 110-R. In order to produce the magnetic forces 402, 502, 602 that repel the legs 104-L, 104-R, magnetic devices 110-L, 110-R are positioned on each brace 100-L, 100-R. As the legs 104-L, 104-R move relative to each other the magnetic devices 110-L, 110-R interact to produce the desired force.
(23) The magnetic devices 110-L, 110-R each produce a magnetic field that produces the repelling forces 402, 502, 602. The magnetic fields are produced in various ways. For example, the magnetic devices 110 have permanent magnets 702, such as illustrated in
(24)
(25) The illustrated brace 100-R-A includes a support device 106 and at least two groups of magnets 702-A, 702-P. The support device 106 includes a brace body 704 configured to fit around the upper leg 104-R of the person 102. The brace body 704 has a medial side 708 that is positioned to interact with a corresponding medial side 708 on the other brace 100. The brace body 704 is sized to fit around the upper thigh of the person 102. In one embodiment the body 704 is a semi-rigid structure formed to the shape of the person's leg 104. For example, a carbon fiber sheet has a shape that fits around the leg 104. In one embodiment the body includes a semi-rigid portion and a flexible portion. The semi-rigid portion supports the magnets 702 and the flexible portion is an elastic or other material that allows the brace 100 to be easily donned, worn, and removed. The body 704 is a thin material, as are the magnets 702. In this way the combined thickness of the body 704 and magnets 702 do not further impede the movement of one leg 104 past the other. The magnets 702 do not protrude or otherwise present a surface that will catch on the other brace 100 as one leg 104 moves past the other.
(26) The brace 100-R-A includes at least groups of magnets 702-A, 702-P. One group of magnets 702-A are positioned anteriorly to the medial-lateral plane 208. The other group of magnets 702-P are positioned posteriorly to the medial-lateral plane 208. In the illustrated embodiment the magnets 702-A, 702-P are arranged such that the poles are symmetrical, that is, the North poles are aligned together. In this way as the two braces 100-L, 100-R come near each other the magnets 702 of one brace 100 repel the magnets 702 of the other brace 100. The magnets 702 are “super magnets” or rare earth magnets, such as those made of neodymium.
(27) In one embodiment, each group of magnets 702-A, 702-P are composed of a single magnet of the desired strength. In one such embodiment the magnets 702-A, 702-P are curved to conform to the shape of the brace 100. In another embodiment, each group of magnets 702-A, 702-P are composed of multiple magnets with a spacing and configuration to produce a desired magnetic force 402, 502, 602 distribution. In such an embodiment the magnets 702-A, 702-P are substantially planar.
(28) Using
(29) Using
(30) Using
(31)
(32) Another method of making a brace 100 such as illustrated in
(33)
(34) It bears noting that the illustrated magnetic field strength curve 902 represents the field strength along the surface of the brace 100. The magnetic field strength 902, when considering the distance between the braces 100-L, 100-R, is related to the magnetic force 402, 502, 602 as further described below. Magnetic force varies in accordance with the inverse-square law, that is, magnetic force is inversely proportional to the square of the distance between the two poles.
(35) Using
(36) The shape of the magnetic field strength curve 902 will vary depending upon the particular needs of the person 102 wearing the braces 100. A physical therapist evaluates the gait of the person 102 and determines how much force is necessary to correct the spastic gait at each point in the person's stride. The relationship of force versus stride position is the force profile for that person's gait. The magnetic field strength 902 at each point in the person's stride is determined by the amount of force at that point and the distance between the person's legs 104 at the point where the braces 100 will be worn. After the magnetic field strength curve 902 is determined, the distribution and strength of the magnets 702, 802 is determined. For example, when the curve 902 is asymmetrical, for the embodiment 100-R-A illustrated in
(37) In one test a magnetic force 402, 502, 602 of approximately four pounds of static force was found to be sufficient to prevent collision of the thighs of a fourteen year old female. The subject female had strong adductors that pulled her legs together as she walked.
(38) The first step in making a brace 100 is to determine the characteristics of the person 102 who will wear the braces 100. This step includes measuring the size of the legs 104 to determine the size of the support device 106. This step also includes evaluating the gait of the person 102 to determine how much force is necessary to correct the spastic gait.
(39) Knowing the characteristics of the person 102, the braces 100 are made by selecting support devices 106 of the appropriate size to fit the person 102 and by selecting magnetic devices 110, each with a magnetic distribution appropriate to the person 102. In the embodiment with the magnetizable powder 802, the powder 802 is magnetized to correspond to the force profile determined for the person 102.
(40)
(41) The illustrated support device 106 is a body 704 shown with the magnetic device 110 and a magnetizing mandrel 1004. The magnetic device 110 is shown symbolically as a dispersion of magnetic particles or powder 802 across the substrate 1002. The magnetic particles 802 are embedded in the substrate 1002, which is attached to the body 704. The magnetic device 110 is disposed around approximately one-half of the body 704 on its medial side 708.
(42) The magnetic particles 802 are positioned on the substrate 1002 in a concentration corresponding to the magnetic field strength 902 desired around the magnetic device 110. That is, the portion of the magnetic device 110 where a greater magnetic field strength 902 is desired has a greater concentration of magnetic particles 802 such as shown where the medial-lateral plane 208 bisects the body 704 on the medial side 708. In the example illustrated in
(43) Inside the body 704 is the magnetizing mandrel 1004 that magnetizes the magnetic particles 802 as the substrate 1002 cures. The magnetizing mandrel 1004 is positioned inside the body 704 when the substrate 1002 is being cured. In this way the magnetic particles 802 will be fixed in position on the magnetic device 110-R with the desired magnetic polarity after the substrate 1002 is cured. The magnetic particles 802, in one embodiment, include rare earth elements that are ferromagnetic. As such, the magnetic particles 802 can be permanently magnetized. Additionally, rare earth elements have crystalline structures that are aligned when exposed to a strong magnetic field, such as produced by the magnetizing mandrel 1004.
(44) The process for fixing the desired magnetic field strength curve 906 relative to the body 704 includes the step of positioning the uncured substrate 1002 at the desired location on the body 704. The magnetic particles 802 are distributed across the surface of the substrate 1002 with the desired density for each portion of the magnetic device 110. The magnetic particles 802 mix with the substrate 1002 such that the particles 802 are encapsulated within the substrate 1002. In one embodiment, the magnetic particles 802 are distributed throughout the substrate 1002 with a density such that the resulting magnetic field varies over the surface of each magnetic device 110-L, 110-R with a direct relationship to the density of the particles 802. Such an embodiment is illustrated in
(45) After the magnetic particles 802 are embedded in the substrate 1002, the substrate 1002 is cured as the magnetic mandrel 1004 applies a magnetic field to the magnetic device 110. In one embodiment, the substrate 1002 is an epoxy applied to the external surface of the body 704. In such an embodiment, the substrate 1002 is cured by applying heat. The magnetic mandrel 1004 maintains the alignment of the polarity of the magnetic particles 802 as the substrate 1002 cures such that the brace 100-B has a magnetic device 110 with the desired magnetic field strength curve 906.
(46) The braces 100 include various functions. The function of repelling the legs 104-L, 104-R as one passes the other is implemented, in one embodiment, by each magnetic device 110-L, 110-R having a magnetic field orientation that repels the magnetic field of the other magnetic device 110-R, 110-L.
(47) The function of attaching the magnetic devices 110-L, 110-R to the person 102 is implemented, in one embodiment, by a pair of support devices 106-L, 106-R to which the magnetic devices 110-L, 110-R are secured at a desired position on each 104-L, 104-R.
(48) The function of distributing a magnetic field on a pair of magnetic devices 110-L, 110-R is implemented, in one embodiment, by magnetic particles 802 suspended in a substrate 1002, with the density of the magnetic particles 802 directly related to the strength of the magnetic field over a portion of the magnetic devices 110-L, 110-R. In another embodiment, the function of distributing a magnetic field on a pair of magnetic devices 110-L, 110-R is implemented by positioning a plurality of discrete magnets 702 arranged so as to produced the desired magnetic field distribution.
(49) From the foregoing description, it will be recognized by those skilled in the art that braces 100 have been provided. Each brace 100 is configured to fit around a thigh of the person. Each brace 100 includes magnets 702, 802 that are positioned so as to aid the wearer in overcoming a spastic gait. In one embodiment, the person's gait is measured and the magnetic devices are distributed along the brace 100-L, 100-R so as to provide an optimum level of assistance as each leg moves past the other leg when ambulating.
(50) While the present invention has been illustrated by description of several embodiments and while the illustrative embodiments have been described in considerable detail, it is not the intention of the applicant to restrict or in any way limit the scope of the appended claims to such detail. Additional advantages and modifications will readily appear to those skilled in the art. The invention in its broader aspects is therefore not limited to the specific details, representative apparatus and methods, and illustrative examples shown and described. Accordingly, departures may be made from such details without departing from the spirit or scope of applicant's general inventive concept.